| NPI | 1700845484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024164766) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: VA 0001167185) |
| 174400000X Specialist (Licence: VA 0017137250) | |
| 174400000X Specialist (Licence: VA 0024164766) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024164766) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-04-25 |